Modern surgical pathology of the head and neck has roots from the late 19th century,
but the most significant leaps in diagnosis and treatment of these disease entities
have rapidly developed over the last 35 years. Significant advances in clinical research
were transferred to the operating room environment, and clinicians were able to treat
benign and malignant maxillofacial lesions with increased predictability. The advent
of microvascular free tissue transfer transformed severely debilitating and disfiguring
operations into single-stage ablative–reconstructive procedures. The addition of this
type of reconstruction has allowed ablative surgeons to take on the most difficult
cases and obtain extremely functional and aesthetic results. At New York University
Langone Medical Center, the authors are carrying these principles forward and are
using digital technology to improve surgical treatment of head and neck pathology.
This article will focus on how computer-aided design and computer aided manufacturing
(CAD-CAM) has greatly impacted surgical pathology and reconstruction of the head and
neck. The methods are described, and several cases are illustrated.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribers receive full online access to your subscription and archive of back issues up to and including 2002.
Content published before 2002 is available via pay-per-view purchase only.
Subscribe:
Subscribe to Atlas of the Oral and Maxillofacial Surgery Clinics of North AmericaAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
Further readings
- Computer planning and intraoperative navigation in cranio-maxillofacial surgery.Oral Maxillofac Surg Clin North Am. 2010; 22: 135-156
- Three-dimensional surgical simulation.Am J Orthod Dentofacial Orthop. 2010; 138: 361-371
- Computer-aided surgery using 3D rendering of maxillofacial pathology and trauma.Int J Med Robot. 2007; 3: 203-206
- Use of computer-aided design and computer-aided manufacturing to produce orthognathically ideal surgical outcomes: a paradigm shift in head and neck reconstruction.J Oral Maxillofac Surg. 2009; 67: 2115-2122
- Oromandibular reconstruction using a fibula osteocutaneous free flap: four different “preplating” techniques.Plast Reconstr Surg. 2006; 118: 643-651
- Importance of computer-aided design and manufacturing technology in the multidisciplinary approach to head and neck reconstruction.J Craniofac Surg. 2010; 21: 1277-1280
- Use of virtual 3-dimensional surgery in post-traumatic craniomaxillofacial reconstruction.J Oral Maxillofac Surg. 2011; 69: 733-741
Article info
Publication history
Published online: January 16, 2012
Footnotes
The authors have nothing to disclose.
Identification
Copyright
© 2012 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
